Health Information Management

Tip of the week: CMS releases 2009 OPPS and ASC proposed rule

APCs Insider, July 11, 2008

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Big changes for EDs, diagnostic services, and quality measures
 
CMS released its Outpatient Prospective Payment System (OPPS) and ambulatory surgery center (ASC) proposed rule for fiscal year (FY) 2009 on July 3, some two weeks earlier than usual. The rule includes changes for Type B emergency departments (ED) and imaging services as well as expansions to quality measures. In addition, the rule addresses proposed 2009 changes for ASCs. The 2009 OPPS proposed rule is scheduled to be published in the July 18 Federal Register. Comments on the proposed rule will be accepted through September 2. CMS will respond to comments in a final rule that it expects to release on or before November 1. Should the changes become final, they will become effective as of January 1, 2009.
 
Jugna Shah, MPH, president of Nimitt Consulting in Washington, DC, notes that the comment due date is much earlier than ever, just a week after the meeting of the APC Advisory Panel (which provides comment on the rule to CMS). In addition, she says, the short schedule increases pressure on hospitals with many people out on vacation to read and comment on the rule. “It’s really a short amount of time,” she says.

(To read more about the 2009 OPPS and ASC proposed rule, click here.)



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